Honorary Research Associate
BAppSci PhD CRFS FANZSRS FThorSoc FERS
Professor Graham Hall is an internationally recognised respiratory physiologist and former Co-Head of Children’s Lung Health at the Telethon Kids Institute. He previously held a Professor role in the Faculty of Health Sciences at Curtin University. Prof. Hall completed his PhD at the Telethon Kids Institute in late 1999 before working in the University Children's Hospitals in Zurich and Bern in Switzerland. In 2003, he was appointed as Senior Respiratory Scientist of the Respiratory Laboratory at Perth Children’s Hospital before joining Telethon Kids in mid-2010 as the Head of Children's Lung Health. He currently holds an Honorary Research Associate appointment at Telethon Kids.
Prof. Hall leads a research program focused on improving the diagnosis and management of chronic lung disease from infancy and into adult life, with a targeted approach to translating research outcomes into clinical practice. He has extensive national and international collaborations across various areas of respiratory science and medicine including in cystic fibrosis, asthma, chronic respiratory disease of preterm birth, and neuromuscular disorders. His research includes: investigating markers of early lung damage in infants and young children with cystic fibrosis as part of the AREST CF group; assessing the long-term respiratory impacts of preterm birth; preventing respiratory adverse events in children undergoing anaesthesia for surgery; developing appropriate clinical testing platforms to assess respiratory function in children with neuromuscular disorders and; developing reference values to improve the accuracy of lung function assessment in Aboriginal and Torres Strait Island populations.
Prof. Hall has an established international reputation in paediatric respiratory science and consistently contributes to international respiratory health research including contribution to guidelines and agenda setting committees. He is co-chair of the Global Lung Function Initiative Network that have developed reference ranges for commonly used respiratory function tests. He is a Fellow of the Thoracic Society of Australia and New Zealand, and the European Respiratory Society.
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Projects
Lung damage in children with CF occurs much earlier than previously thought, and proving this is related to the decline that occurs later will create new paradigms for prevention and treatment.
Understanding if ongoing inflammation in the lungs contributes to the poor lung health experienced by some children who were born preterm.
We hope that through earlier diagnosis and treatment of muscle weakness during sleep, we can prevent future lung failure in children with neuromuscular disorders.
In partnership with Derbarl Yerrigan Health Service and the Broome Regional Aboriginal Medical Service, we aim to improve Aboriginal lung health by determining for the first time the baseline lung function of Aboriginal Australians.
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Publications
September 2015
Impact of lung disease on respiratory impedance in young children with cystic fibrosis
The present study investigated whether lung function measured by forced oscillation technique would be impaired in the presence of infection,...
Cystic Fibrosis Published research Academic Biostatistics Children's Lung Health P4 Respiratory Health for KidsSeptember 2015Progressive ventilation inhomogeneity in infants with cystic fibrosis after pulmonary infection
This study aimed to determine how pulmonary inflammation & infection impacts on ventilation distribution throughout early life in people with cystic fibrosis.
Cystic Fibrosis Published research Academic Biostatistics Children's Lung Health P4 Respiratory Health for KidsAugust 2015Infant respiratory infections and later respiratory hospitalisation in childhood
The aim of this study was to use total-population based data on an otherwise healthy population of children to assess the relationship between early...
Asthma Published research Academic Biostatistics Infectious Diseases Epidemiology Children's Lung HealthJanuary 2015Reduced forced vital capacity in Aboriginal Australians: Biology or missing evidence?
This editorial article addresses chronic obstructive pulmonary disease and lung function testing in Aboriginal Australians.
Published research Aboriginal Health & Wellbeing Aboriginal Health Children's Lung HealthJanuary 2015Respiratory impedance in healthy unsedated South African infants: Effects of maternal smoking
Non-invasive techniques for measuring lung mechanics in infants are needed for a better understanding of lung growth and function...
Published research Children's Lung HealthJanuary 2015Influence of gestational age on dead space and alveolar ventilation in preterm infants ventilated with volume guarantee
Ventilated preterm infant lungs are vulnerable to overdistension and underinflation.
Published research Children's Lung Health Respiratory Environmental HealthJanuary 2015Rationale, design and methods for the 22 year follow-up of the Western Australian Pregnancy Cohort (Raine) Study
Young adulthood is a critical life period for health and health behaviours.
Asthma Published research Children's Lung HealthJanuary 2015The influence of sighing respirations on infant lung function measured using multiple breath washout gas mixing techniques
There is substantial interest in studying lung function in infants, to better understand the early life origins of chronic lung diseases such as asthma.
Asthma Published research Children's Lung HealthApril 2015Prediction of peri-operative adverse respiratory events in children: The role of exhaled nitric oxide.
Increased levels of exhaled nitric oxide (eNO) may be a more objective predictor in identifying children at higher risk of peri-operative adverse respiratory...
Asthma Published research Children's Lung HealthMarch 2015Multiple-breath washout as a lung function test in cystic fibrosis: A cystic fibrosis foundation workshop report
Recent technological advances in equipment design have produced gains in popularity for this test among cystic fibrosis (CF) researchers and clinicians...
Cystic Fibrosis Published research Children's Lung HealthFebruary 2015Defining the appropriate waiting time between multiple-breath nitrogen washout measurements
This letter addresses the recommendations by the American Thoracic Society & European Respiratory Society in 2005, that patients must wait 15-60mins between...
Published research Children's Lung HealthFebruary 2015Lung function following very preterm birth in the era of 'new' bronchopulmonary dysplasia
The pathophysiology of BPD has changed in recent years as advances in neonatal care have led to increased survival of smaller, more preterm, infants who...
Published research Children's Lung HealthMay 2023Risk factors for poorer respiratory outcomes in adolescents and young adults born preterm
The respiratory outcomes for adult survivors of preterm birth in the postsurfactant era are wide-ranging with prognostic factors, especially those encountered after the neonatal period, poorly understood.
Published research Children's Lung Health Subsite: Walyan Pre-term birthApril 2023No association between in utero exposure to emissions from a coalmine fire and post-natal lung function
Studies linking early life exposure to air pollution and subsequent impaired lung health have focused on chronic, low-level exposures in urban settings. We aimed to determine whether in utero exposure to an acute, high-intensity air pollution episode impaired lung function 7-years later.
Published research Children's Lung Health Respiratory viral infectionsDecember 2014Lung function in African infants: A pilot study
Unsedated infant lung function measures of tidal breathing, MBW, and eNO are feasible in a semi-rural African setting
Published research Children's Lung HealthNovember 2014Peri-operative adverse respiratory events in children
We screened for risk factors from children's and their families' histories, and assessed the usefulness of common markers of allergic sensitisation of the...
Published research Children's Lung HealthNovember 2014Early respiratory infection is associated with reduced spirometry in children with cystic fibrosis
We hypothesized that the presence of these markers of cystic fibrosis lung disease in the first 2 years of life would be associated with reduced lung...
Published research Academic Biostatistics Children's Lung Health P4 Respiratory Health for KidsJune 2014Using lung function measurements to greater advantage in patients with lung disease: Which test and when?
This paper is an introduction to a series of articles about improved measurement of lung function in patients with chronic lung disease.
Published research Children's Lung HealthMay 2014Smoking during pregnancy, vitamin C supplementation, and infant respiratory health
This article discusses the merits and potential shortcomings of a study reported previously showing that giving Vitamin C to women who smoked during...
Published research Children's Lung HealthMay 2014Vitamin D deficiency at 16 to 20 weeks' gestation is associated with impaired lung function and asthma at 6 years of age
This paper examines whether a Vitamin D deficiency during pregnancy affects the child's lung function predisposition towards lung disease such as asthma.
Published research Autism Research Inflammation Human Immunology Children's Lung HealthDecember 2013Lung function in African infants: A pilot study
Infant lung function (ILF) testing may provide useful information about lung growth and susceptibility to respiratory disease.
Published research Children's Lung HealthDecember 2013Home oxygen therapy for infants and young children with acute bronchiolitis and other lower respiratory tract infections: The HiTHOx program
Recent studies have demonstrated that some children with acute bronchiolitis can be successfully managed using home oxygen therapy.
Published research Bronchiolitis Infectious Diseases Children's Lung HealthNovember 2013The safety and feasibility of the inhaled mannitol challenge test in young children
Mannitol challenge tests are used clinically to diagnose asthma and, in particular, exercise-induced broncoconstriction (EIB) in adults and children above 6...
Asthma Published research Children's Lung Health P4 Respiratory Health for KidsAugust 2013Effects of adopting the new global lung function initiative 2012 reference equations on the interpretation of spirometry
The aim of this study was to document the likely interpretative effects of changing from commonly used current spirometry reference equations to the GLI2012...
Published research Children's Lung HealthJuly 2013Expiratory flow limitation and breathing strategies in overweight adolescents during submaximal exercise
Young people who are overweight/obese are more likely to display expFL during submaximal exercise compared with children of healthy weight.
Published research Children's Lung Health P4 Respiratory Health for KidsJuly 2013Evaluating hypoxia during air travel in healthy infants
Up to a third of ex-preterm infants flying near term exhibit pulse oxygen saturation (SpO2) of less than 85% during air travel.
Published research Children's Lung HealthJuly 2013Respiratory impedance and bronchodilator responsiveness in healthy children aged 2-13 years
There is limited information on changes in FOT outcomes in healthy children beyond the preschool years and the level of bronchodilator responsiveness (BDR)...
Published research Children's Lung HealthJune 2013Survey of clinical infant lung function testing practices
To evaluate current ILF testing practices and to survey users regarding the indications, limitations and perceived clinical benefits of ILF testing.
Published research Children's Lung HealthJune 2013Novel end points for clinical trials in young children with cystic fibrosis
Cystic fibrosis (CF) lung disease commences early in the disease progression and is the most common cause of mortality.
Cystic Fibrosis Published research Children's Lung Health P4 Respiratory Health for KidsJanuary 2013Consensus statement for inert gas washout measurement using multiple- and single- breath tests
Inert gas washout tests, performed using the single- or multiple-breath washout technique, were first described over 60 years ago.
Published research Children's Lung HealthOctober 2012The Global Lung Initiative 2012 reference values reflect contemporary Australasian spirometry
We aimed to ascertain the fit of the European Respiratory Society Global Lung Initiative 2012 reference ranges to contemporary Australasian spirometric data.
Published research Children's Lung HealthSeptember 2012Characterization of maximal respiratory pressures in healthy children
Measurements of maximal voluntary inspiratory (Pi max) and expiratory (Pe max) pressures are used in the management of respiratory muscle disease...
Published research Children's Lung Health P4 Respiratory Health for KidsJuly 2012Age- and height-based prediction bias in spirometry reference equations
Prediction bias in spirometry reference equations can arise from combining equations for different age groups,...
Published research Children's Lung HealthMay 2012Pulmonary diffusing capacity in healthy Caucasian children
Previous studies of pulmonary diffusing capacity in children differed greatly in methodologies; numbers of subjects evaluated, and were performed prior to...
Published research Children's Lung HealthJanuary 2012Clinical investigation of respiratory system admittance in preschool children
We compared the ability of Ars, to standard oscillatory outcomes, to determine respiratory disease and differentiate responses to inhaled bronchial challenges.
Published research Children's Lung Health P4 Respiratory Health for KidsJanuary 2012Early detection of lung function abnormalities in young children with cystic fibrosis
In this review, we have examined the role of lung function testing in infants and preschool children with CF.
Cystic Fibrosis Published research Children's Lung HealthDecember 2011Air travel and the risks of hypoxia in children
In infants and children with chronic respiratory disease, hypoxia is a potential risk of aircraft travel.
Published research Children's Lung HealthAugust 2011Air Trapping on Chest CT Is Associated with Worse Ventilation Distribution in Infants with Cystic Fibrosis
In school-aged children with cystic fibrosis (CF) structural lung damage assessed using chest CT is associated with abnormal ventilation distribution.
Cystic Fibrosis Published research Children's Lung Health P4 Respiratory Health for KidsAugust 2011The all-age spirometry reference ranges reflect contemporary Australasian spirometry
Advances in statistical modelling have allowed the creation of smoothly changing spirometry reference ranges that apply across a wide age range and better...
Published research Children's Lung HealthJuly 2011Reference values for spirometry: The way forward for our patients
Few clinical respiratory laboratories have assessed the impact of changing reference equations on the interpretation of spirometric outcomes.
Published research Children's Lung HealthJuly 2011Infection, inflammation,and lung function decline in infants with cystic fibrosis
Better understanding of evolution of lung function in infants with cystic fibrosis...
Cystic Fibrosis Published research Children's Lung Health P4 Respiratory Health for KidsJune 2011Crowding and other strong predictors of upper respiratory tract carriage of otitis media-related
We investigated predictors of nasopharyngeal carriage in Australian Aboriginal and non-Aboriginal children.
Published research Academic Biostatistics Ear Infections Immunisation Aboriginal Health Ear Health Children's Lung HealthJune 2011Crowding and other strong predictors of upper respiratory tract carriage of otitis media-related bacteria
Streptococcus pneumoniae, Moraxella catarrhalis, and nontypeable Haemophilus influenzae is associated with otitis media
Published research Ear Infections Aboriginal Health Ear Health Children's Lung HealthMay 2011Exhaled breath temperature in healthy children is influenced by room temperature and lung volume
Exhaled breath temperature (EBT) has been proposed for the non-invasive assessment of airway inflammation
Published research Children's Lung HealthMarch 2011Influence of secular trends and sample size on reference equations for lung function tests
The aim of our study was to determine the contribution of secular trends and sample size to lung function reference equations, and establish the number...
Asthma Published research Children's Lung HealthJanuary 2011Prolonged use of wind or brass instruments does not alter lung function in musicians
Respiratory function impacts on musical expression for wind/brass (W/B) musicians. Investigation of musicians' respiratory health to date has rarely...
Published research Children's Lung HealthDecember 2010Changes in the FEV/FVC ratio during childhood and adolescence: an intercontinental study
In children, the ratio of forced expiratory volume in 1 s (FEV₁) to forced vital capacity (FVC) is reportedly constant or falls linearly with age...
Published research Children's Lung HealthAugust 2010Increased exhaled nitric oxide in wind and brass musicians
Playing a wind or brass (W/B) instrument is considered a strenuous activity for the respiratory system.
Published research Children's Lung HealthJuly 2010Expression of bronchodilator response using forced oscillation technique measurements: absolute versus relative
Expression of bronchodilator response using forced oscillation technique measurements: absolute versus relative
Published research Children's Lung Health P4 Respiratory Health for KidsMay 2010Lung function testing in preschool-aged children with cystic fibrosis in the clinical setting
This study investigated the nature and prevalence of atypical pain responses in Rett syndrome and their relationships with specific MECP2 mutations.
Cystic Fibrosis Published research Children's Lung Health P4 Respiratory Health for KidsApril 2010Lung volume and ventilation inhomogeneity in preterm infants at 15-18 months corrected age
To assess whether lung volume and ventilation inhomogeneity in preterm infants at 15-18 months corrected age
Published research Children's Lung HealthJanuary 2010Forced oscillation technique
Forced oscillation technique
Published research Children's Lung HealthMarch 2022Characterisation of lung function trajectories and associated early-life predictors in an Australian birth cohort study
There is growing evidence that lung function in early-life predicts later lung function. Adverse events over the lifespan might influence an individual’s lung function trajectory, resulting in poor respiratory health. The aim of this study is to identify early-life risk factors and their impact on lung function trajectories to prevent long-term lung impairments.
Asthma Published research Children's Lung Health Subsite: WalyanFebruary 2022Clinical significance and applications of oscillometry
Recently, "Technical standards for respiratory oscillometry" was published, which reviewed the physiological basis of oscillometric measures and detailed the technical factors related to equipment and test performance, quality assurance and reporting of results. Here we present a review of the clinical significance and applications of oscillometry.
Asthma Published research Children's Lung HealthJanuary 2022Addressing Race in Pulmonary Function Testing by Aligning Intent and Evidence With Practice and Perception
The practice of using race or ethnicity in medicine to explain differences between individuals is being called into question because it may contribute to biased medical care and research that perpetuates health disparities and structural racism.
Published research Children's Lung HealthOctober 2022Normative data for multiple breath washout outcomes in school-aged Caucasian children
The multiple breath nitrogen washout (N2MBW) technique is increasingly used to assess the degree of ventilation inhomogeneity in school-aged children with lung disease. However, reference values for healthy children are currently not available.
Published research Early Childhood Development Children's Lung HealthOctober 2022Longitudinal effects of prenatal exposure to plastic-derived chemicals and their metabolites on asthma and lung function from childhood into adulthood
Environmental exposure to phthalates and bisphenol A (BPA), chemicals used in the production of plastics, may increase risk for asthma and allergies. However, little is known about the long-term effects of early life exposure to these compounds.
Asthma Published research Children's Lung Health Subsite: Walyan Geospatial Health and Development AllergyOctober 2022Development of a Symptom-Based Tool for Screening of Children at High Risk of Preschool Asthma
Despite advances in asthma therapeutics, the burden remains highest in preschool children; therefore, it is critical to identify primary care tools that distinguish preschool children at high risk for burdensome disease for further evaluation.
Asthma Published research Children's Lung Health Subsite: WalyanOctober 2022Factors influencing participation in home, school, and community settings by children and adolescents with neuromuscular disorders: A qualitative descriptive study
This study explored how children and adolescents with a neuromuscular disorder (NMD) and their parents experienced barriers and enablers to the child's participation.
Published research Early Childhood Development Child Disability Children's Lung HealthOctober 2022The ventilatory response to hypoxia is blunted in some preterm infants during the second year of life
Preterm birth and subsequent neonatal ventilatory treatment disrupts development of the hypoxic ventilatory response (HVR). An attenuated HVR has been identified in preterm neonates, however it is unknown whether the attenuation persists into the second year of life.
Published research Children's Lung Health Neonatal Health Pre-term birthJuly 2022Collecting exhaled breath condensate from non-ventilated preterm-born infants: a modified method
Exhaled breath condensate (EBC) collection is a non-invasive, safe method for measurement of biomarkers in patients with lung disease. Other methods of obtaining samples from the lungs, such as bronchoalveolar lavage, are invasive and require anaesthesia/sedation in neonates and infants. EBC is particularly appealing for assessing biomarkers in preterm-born infants, a population at risk of ongoing lung disease.
Published research Children's Lung Health Pre-term birthJuly 2022ERS/ATS technical standard on interpretive strategies for routine lung function tests
Appropriate interpretation of pulmonary function tests (PFTs) involves the classification of observed values as within/outside the normal range based on a reference population of healthy individuals, integrating knowledge of physiological determinants of test results into functional classifications and integrating patterns with other clinical data to estimate prognosis.
July 2022Asthma and allergies in a cohort of adolescents conceived with ART
Research question: Are asthma and allergies more common in adolescents conceived with assisted reproductive technologies (ART) compared with adolescents conceived without?
Asthma Published research Human Immunology Assisted Reproductive Technologies Children's Lung Health AllergyMay 2022Association between early respiratory viral infections and structural lung disease in infants with cystic fibrosis
Infants with cystic fibrosis (CF) develop structural lung disease early in life, and viral infections are associated with progressive lung disease. We hypothesized that the presence of respiratory viruses would be associated with structural lung disease on computed tomography (CT) of the chest in infants with CF.
Cystic Fibrosis Published research Children's Lung Health P4 Respiratory Health for Kids Subsite: WalyanMarch 2021Official ERS technical standard: Global Lung Function Initiative reference values for static lung volumes in individuals of European ancestry
Measurement of lung volumes across the life course is critical to the diagnosis and management of lung disease. The aim of the study was to use the Global Lung Function Initiative methodology to develop all-age multi-ethnic reference equations for lung volume indices determined using body plethysmography and gas dilution techniques.
Published research Children's Lung Health Subsite: WalyanFebruary 2021Lung abnormalities do not influence aerobic capacity in school children born preterm
Children born preterm have impaired lung function and altered lung structure. However, there are conflicting reports on how preterm birth impacts aerobic exercise capacity in childhood. We aimed to investigate how neonatal history and a diagnosis of bronchopulmonary dysplasia (BPD) impact the relationship between function and structure of the lung, and aerobic capacity in school-aged children born very preterm.
Published research Early Childhood Development Children's Lung Health Children’s Respiratory ScienceFebruary 2021Pulmonary Gas Exchange Improves over the First Year in Preterm Infants with and without Bronchopulmonary Dysplasia
Right shift of the peripheral oxyhaemoglobin saturation (SpO2) versus inspired oxygen pressure (PIO2) curve is a sensitive marker of pulmonary gas exchange. The aim of this study was to assess the impact of prematurity and bronchopulmonary dysplasia (BPD) on gas exchange and right-to-left shunt in the neonatal period, and its evolution over the first year of life.
Published research Early Childhood Development Children's Lung Health Neonatal Cardiorespiratory HealthNovember 2021Quality of life is poorly correlated to lung disease severity in school-aged children with cystic fibrosis
There is no data exclusively on the relationship between health-related quality-of-life (HRQOL) and lung disease severity in early school-aged children with cystic fibrosis (CF). Using data from the Australian Respiratory Early Surveillance Team for Cystic Fibrosis (AREST CF) we assessed the relationships between HRQOL, lung function and structure.
Cystic Fibrosis Published research Children's Lung HealthAugust 2021Associations between respiratory and vascular function in early childhood
The link between respiratory and vascular health is well documented in adult populations. Impaired lung function is consistently associated with thicker arteries and higher incidence of cardiovascular disease. However, there are limited data on this relationship in young children and the studies that exist have focussed on populations at high risk of cardiorespiratory morbidity.
Published research Children's Lung Health Subsite: WalyanJune 2021Bullying and psychosocial adjustment among children with and without asthma
Children with asthma face serious mental health risk, but the pathways remain unclear. This study aimed to examine bullying victimisation and perpetration in children with asthma and a comparison sample without a chronic health condition, and the role of bullying in moderating psychosocial adjustment outcomes for those with asthma. A sample of children with and without asthma, and their parents, were recruited from hospital clinics.
Asthma Published research Bullying Children's Lung Health School and Community WellbeingJune 2021Lung inflammation and simulated airway resistance in infants with cystic fibrosis
Cystic fibrosis (CF) is characterized by small airway disease; but central airways may also be affected. We hypothesized that airway resistance estimated from computational fluid dynamic (CFD) methodology in infants with CF was higher than controls and that early airway inflammation in infants with CF is associated with airway resistance.
Cystic Fibrosis Published research Children's Lung Health Subsite: Cystic Fibrosis Subsite: WalyanJune 2021Does machine learning have a role in the prediction of asthma in children?
Asthma is the most common chronic lung disease in childhood. There has been a significant worldwide effort to develop tools/methods to identify children's risk for asthma as early as possible for preventative and early management strategies. Unfortunately, most childhood asthma prediction tools using conventional statistical models have modest accuracy, sensitivity, and positive predictive value.
Asthma Published research Children's Lung Health Subsite: Walyan BREATHMay 2021Variants associated with HHIP expression have sexdifferential effects on lung function
Lung function is highly heritable and differs between the sexes throughout life. However, little is known about sexdifferential genetic effects on lung function. We aimed to conduct the first genome-wide genotype-by-sex interaction study on lung function to identify genetic effects that differ between males and females.
Published research Early Childhood Development Children's Lung HealthJune 2020Variants associated with HHIP expression have sex-differential effects on lung function
Lung function is highly heritable and differs between the sexes throughout life. However, little is known about sex-differential genetic effects on lung function. We aimed to conduct the first genome-wide genotype-by-sex interaction study on lung function to identify genetic effects that differ between males and females.
Published research Children's Lung HealthMay 2020Association between diesel engine exhaust exposure and lung function in Australian gold miners
Diesel engine exhaust exposures were higher in underground miners and had a negative association with their lung function over a single 12-h shift
Published research Academic Biostatistics Children's Lung HealthMay 2020Structural determinants of long term functional outcomes in young children with cystic fibrosis
Chest CT identifies children at an early age who have adverse long-term outcomes
Cystic Fibrosis Published research Children's Lung Health P4 Respiratory Health for KidsMarch 2020Impact of HIV and antiretroviral drug exposure on lung growth and function over 2 years in an African Birth Cohort
HIV exposure is associated with altered lung function in early life, with a vulnerable HIV-exposed uninfected subgroup based on maternal disease severity
Published research Children's Lung HealthFebruary 2020Early life exposure to coal mine fire smoke emissions and altered lung function in young children
Infant exposure to coal mine fire emissions could be associated with long-term impairment of lung reactance
Published research Children's Lung HealthFebruary 2020Technical standards for respiratory oscillometry
The aim of the task force was to provide technical recommendations regarding oscillometry measurement
Published research Children's Lung HealthJanuary 2019Intra-breath measures of respiratory mechanics in healthy African infants detect risk of respiratory illness in early life
Intra-breath forced oscillation technique can identify healthy infants at risk of developing LRTI, wheezing or severe illness in the first year of life
Published research Children's Lung HealthJanuary 2019The Global Lung Function Initiative (GLI) Network ERS Clinical Research Collaboration: how international collaboration can shape clinical practice
The Global Lung Function Initiative is working to improve the interpretation of lung function: an update on current work and the opportunities for further engagement
Published research Children's Lung HealthNovember 2019Early respiratory viral infections in infants with cystic fibrosis
Early viral infections were associated with greater neutrophilic inflammation and bacterial pathogens
Cystic Fibrosis Published research Children's Lung Health P4 Respiratory Health for KidsOctober 2019Upper Airway Pathology Contributes to Respiratory Symptoms in Children Born Very Preterm
The upper airway may play a role in the respiratory symptoms experienced by some very preterm children and should be considered by clinicians
Published research Children's Lung HealthOctober 2019Standardization of Spirometry 2019 Update. An Official American Thoracic Society and European Respiratory Society Technical Statement
Standards and consensus recommendations are presented for manufacturers, clinicians, operators, and researchers
Published research Children's Lung HealthAugust 2019Could home-based FeNO measurements breathe new life into asthma management?
Developing a FeNO test that is affordable enough to allow daily measurements, patients will be able to access quantifiable data to assist them to monitor their asthma
Asthma Published research Children's Lung HealthAugust 2019Long-term medical and psychosocial outcomes in congenital diaphragmatic hernia survivors
Survivors of CDH may have significant adverse long-term medical and psychosocial issues that would be better recognised and managed in a multidisciplinary clinic
Published research Children's Lung HealthAugust 2019Selection of appropriate spirometry reference values in Aboriginal Australians
The Global Lung Function ‘Caucasian’ and ‘Other’ spirometry equations do not match healthy Aboriginal FEV1 and FVC data
Published research Academic Biostatistics Aboriginal Health Children's Lung HealthJune 2019Identifying pediatric lung disease: A comparison of forced oscillation technique outcomes
These findings suggest the utility of specific FOT outcomes is dependent on the respiratory disease being assessed
Asthma Cystic Fibrosis Published research Children's Lung HealthJune 2019Effect of Albuterol Premedication vs Placebo on the Occurrence of Respiratory Adverse Events in Children Undergoing Tonsillectomies: The REACT Randomized Clinical Trial
Determine whether inhaled albuterol sulfate (salbutamol sulfate) premedication decreases the risk of perioperative respiratory adverse events
Published research Children's Lung HealthMay 2019Bronchodilator responsiveness in children with asthma is not influenced by spacer device selection
Spacer device was not associated with clinically important differences in lung function following bronchodilator inhalation in children with asthma
Asthma Published research Children's Lung HealthMay 2019Single-breath washout and association with structural lung disease in children with cystic fibrosis
Acinar ventilation inhomogeneity measured by single-breath washout was not associated with structural lung disease on CT
Cystic Fibrosis Published research Children's Lung Health P4 Respiratory Health for KidsApril 2019Maternal exposure to indoor air pollution and birth outcomes
Although formaldehyde concentrations were very low, this finding is consistent with other studies of formaldehyde and poor birth outcomes
Published research Children's Lung HealthApril 2019Key paediatric messages from the 2018 European Respiratory Society International Congress
Group Chairs and early career members highlight some of the most interesting findings in the field of paediatrics presented at the 2018 international ERS Congress
Published research Children's Lung HealthDecember 2018Increasing diversity within the Global Lung Function Initiative
The Global Lung Function Initiative has worked to develop all‐age, multi‐ethnic reference equations for the major clinical lung function tests
Published research Children's Lung HealthNovember 2018ERS technical standard on bronchial challenge testing: pathophysiology and methodology of indirect airway challenge testing
Assessment of airway hyperresponsiveness are valuable tools to understand and to monitor airway function and to characterise the underlying asthma phenotype to guide therapy
Published research Children's Lung HealthOctober 2018Increased prevalence of expiratory flow limitation during exercise in children with bronchopulmonary dysplasia
Expiratory flow limitation is more prevalent in children born preterm with bronchopulmonary dysplasia and is associated with airway obstruction
Published research Children's Lung HealthSeptember 2018Persistent and progressive long-term lung disease in survivors of preterm birth
This review aims to summarise what is known about the long-term pulmonary outcomes of contemporary preterm birth
Published research Children's Lung HealthAugust 2018The impact of respiratory viruses on lung health after preterm birth
The aim of this review is to highlight the risk factors that may contribute to increased susceptibility to viral respiratory infections among preterm infants
Published research Children's Lung HealthJuly 2018The association between Staphylococcus aureus and subsequent bronchiectasis in children with cystic fibrosis
De novo S. aureus acquisition at age 3 is associated with later bronchiectasis and FEF25-75 in children with CF
Cystic Fibrosis Published research Academic Biostatistics Children's Lung Health P4 Respiratory Health for KidsJuly 2018Respiratory function in healthy Emirati children using forced oscillations
Forced oscillation technique measurements were feasible in Emirati school-children. New forced oscillation technique reference equation in Emirati children were derived.
Published research Children's Lung HealthJune 2018Prediction models for the development of COPD: A systematic review
We aimed to systematically review and assess the performance of all published models that predicted development of COPD
Published research Academic Biostatistics Children's Lung HealthJune 2018Inhalational versus Intravenous Induction of Anesthesia in Children with a High Risk of Perioperative Respiratory Adverse Events: A Randomized Controlled Trial
Anesthesiologists should consider using an intravenous propofol induction technique in children who are at high risk of experiencing perioperative respiratory adverse event
Published research Children's Lung HealthMay 2018Lung function trajectories throughout childhood in survivors of very preterm birth: a longitudinal cohort study
Lung function trajectories are impaired in survivors of very preterm birth
Published research Children's Lung HealthApril 2018How ‘healthy’ do children really need to be? Going beyond the limits
The authors assessed the impact of including preschool‐aged children with a history of preterm birth, early life wheeze, asthma diagnoses and/or recent respiratory symptoms in healthy reference ranges for respiratory impedance using the forced oscillation technique (FOT).
Published research Children's Lung HealthMarch 2018Deep or awake removal of laryngeal mask airway in children at risk of respiratory adverse events undergoing tonsillectomy - a randomised controlled trial
We found no evidence for a difference in the timing of the laryngeal mask airways removal on the incidence of respiratory adverse events
Published research Children's Lung HealthMarch 2018Preschool Multiple-Breath Washout Testing. An Official American Thoracic Society Technical Statement
Consensus recommendations are outlined to direct preschool device design, test performance, and data analysis for the MBW technique
Published research Children's Lung HealthJanuary 2018The clinical utility of lung clearance index in early cystic fibrosis lung disease is not impacted by the number of multiple-breath washout trials
This study aimed to determine if relationships between LCI and clinical outcomes of CF lung disease differ when only two acceptable MBW trials are assessed.
Published research Children's Lung HealthJanuary 2018Persistent activation of interlinked type 2 airway epithelial gene networks in sputum-derived cells from aeroallergen-sensitized symptomatic asthmatics
Our findings provide new insight into the molecular mechanisms operative at baseline in the airway mucosa in atopic asthmatic with natural aeroallergen exposure
Asthma Published research Human Immunology Systems Immunology Airway Epithelial Research Children's Lung Health P4 Respiratory Health for KidsJanuary 2017Early lung surveillance of cystic fibrosis: what have we learnt?
Newborn screening (NBS) for cystic fibrosis (CF) provides an opportunity to commence management and therapeutic interventions significantly earlier
Cystic Fibrosis Published research Children's Lung Health P4 Respiratory Health for KidsJanuary 2017Lung function in African infants in the Drakenstein child health study impact of lower respiratory tract illness
Early life lower respiratory tract illness impairs lung function at 1 year, independent of baseline lung function
Published research Children's Lung HealthJanuary 2017Key paediatric messages from the 2016 European respiratory society international congress
Highlight of some of the most interesting abstracts presented at the 2016 ERS International Congress, which was held in London
Published research Children's Lung HealthJanuary 2017Key paediatric messages from the 2016 european respiratory society international congress
In this article, the Group Chairs of the Paediatric Assembly of the European Respiratory Society (ERS) highlight some of the most interesting abstracts presented at the 2016 ERS International Congress, which was held in London.
Published research Children's Lung HealthJanuary 2017End-inspiratory molar mass step correction for analysis of infant multiple breath washout tests
We aimed to evaluate the use of the EIMM-step method in a broad range of infants.
Published research Children's Lung HealthFebruary 2017The effect of endotracheal tubes versus laryngeal mask airways on perioperative respiratory adverse events in infants: A randomised controlled trial
Evaluating the difference of the effects of Laryngeal mask airways compared to endotracheal tubes in older children (>1 year) in incidents of PRAE in infants.
Published research Children's Lung HealthApril 2017Investigating the relationship between environmental factors and respiratory health outcomes in school children using the forced oscillation technique
The significance of both indoor and outdoor sources of air pollution and effect modifiers such as green space and heating require further investigation
Published research Children's Lung HealthMay 2017ERS technical standard on bronchial challenge testing: General considerations and performance of methacholine challenge tests
This international task force report updates general considerations for bronchial challenge testing and the performance of the methacholine challenge test.
Published research Bronchiolitis Children's Lung HealthMay 2017Determinants of early-life lung function in African infants
To assess the determinants of early lung function in African infants.
Published research Children's Lung HealthMay 2017Mannitol challenge testing for asthma in a community cohort of young adults
We aimed to quantify the diagnostic utility of mannitol challenge testing for asthma in a community cohort and a symptomatic wheezing subset of this cohort.
Asthma Published research Human Immunology Children's Lung HealthJune 2017Early lung disease in infants and preschool children with cystic fibrosis: What have we learned and what should we do about it?
This review summarizes what we have learned about early lung disease in children with CF and discusses the implications for clinical practice and research
Cystic Fibrosis Published research Children's Lung Health P4 Respiratory Health for KidsJuly 2017Premedication with salbutamol prior to surgery does not decrease the risk of perioperative respiratory adverse events in school-aged children
Premedication with salbutamol to children prior to their surgery did not reduce their risk of Perioperative respiratory adverse events
Published research Children's Lung HealthAugust 2017Altered lung structure and function in mid-childhood survivors of very preterm birth
To obtain comprehensive data on lung structure and function in mid-childhood from survivors of preterm birth.
Published research Children's Lung HealthSeptember 2017Multiple-breath washout outcomes are sensitive to inflammation and infection in children with cystic fibrosis
The lung clearance index may be a useful surveillance tool for monitoring the presence and extent of lower airway inflammation and infection
Cystic Fibrosis Published research Children's Lung Health P4 Respiratory Health for KidsSeptember 2017Official ERS technical standards: Global Lung Function Initiative reference values for the carbon monoxide transfer factor for Caucasians
This is the largest collection of normative T LCO data, and the first global reference values available for T LCO.
Published research Children's Lung HealthSeptember 2017The global lung function initiative (GLI) network: Bringing the world’s respiratory reference values together
The Global Lung Function Initiative (GLI) Network has become the largest resource for reference values for routine lung function testing ever assembled.
Published research Children's Lung HealthSeptember 2017Air trapping in early cystic fibrosis lung disease-Does CT tell the full story?
Mosaic attenuation on expiratory chest computed tomography (CT) is common in early life cystic fibrosis (CF) and often referred to as "air trapping"
Cystic Fibrosis Published research Children's Lung Health P4 Respiratory Health for KidsNovember 2017Effect of posture on lung ventilation distribution and associations with structure in children with cystic fibrosis
Background: We assessed the effect of posture on ventilation distribution and the impact on associations with structural lung disease.
Cystic Fibrosis Published research Children's Lung Health P4 Respiratory Health for KidsDecember 2017Is forced oscillation technique the next respiratory function test of choice in childhood asthma
While spirometry contributes to asthma diagnosis and management in older children, it has a limited role in younger children whom are unable to perform FOM.
Published research Children's Lung HealthDecember 2016Respiratory function and symptoms in young preterm children in the contemporary era
Preterm children have worse lung function than healthy controls
Published research Children's Lung Health P4 Respiratory Health for KidsNovember 2016High success rate of lung function testing in healthy, unsedated 1- and 2-year-old South African children
Lung function measures in a health, unsedated 1- and 2-year-old children in a South African birth cohort study
Published research Children's Lung HealthOctober 2016Reference values for spirometry and their use in test interpretation: A Position Statement from the Australian and New Zealand Society of Respiratory Science
The ANZSRS recommends the adoption of the Global Lung Function Initiative (GLI) 2012 spirometry reference values throughout Australia and New Zealand
Published research Children's Lung HealthApril 2016Key paediatric messages from Amsterdam
Key messages from the abstracts presented at the European Respiratory Society International Congress
Published research Children's Lung HealthFebruary 2016An Official ATS/ERS Workshop Report: Evaluation of Respiratory Mechanics and Function in the Pediatric and Neonatal Intensive Care Units
This report summarizes techniques available for ventilated and spontaneously breathing infants and children in the ICU
Published research Children's Lung HealthJanuary 2016Reference values for spirometry and their use in test interpretation: A Position Statement from the Australian and New Zealand Society of Respiratory Science
The ANZSRS recommends the adoption of the Global Lung Function Initiative (GLI) 2012 spirometry reference values throughout Australia and New Zealand
Published research Children's Lung HealthJanuary 2016Multiple breath washout cannot be used for tidal breath parameter analysis in infants
There are differences in tidal breathing parameters during multiple breath washout testing with SF6 gas mixture in infants
Published research Children's Lung HealthJanuary 2016A systematic approach to multiple breath nitrogen washout test quality
The application of the systematic review improved inter-observer agreement but did not affect reported multiple breath washout outcomes
Published research Children's Lung HealthJanuary 2016Lung Clearance Index and Structural Lung Disease on Computed Tomography in Early Cystic Fibrosis
Lung clearance index may be a useful surveillance tool to monitor structural lung disease in preschool and school-age children with cystic fibrosis
Cystic Fibrosis Published research -
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